{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T16:34:00Z","timestamp":1777134840808,"version":"3.51.4"},"reference-count":0,"publisher":"The University of Kansas","issue":"1","license":[{"start":{"date-parts":[[2022,1,11]],"date-time":"2022-01-11T00:00:00Z","timestamp":1641859200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["kjm"],"abstract":"<jats:p>Introduction.\u00a0 Motor vehicle collision (MVC) is the second most common mechanism of injury among octogenarians and is on the rise.\u00a0 These \u201coldest old\u201d trauma patients have much higher mortality rates than expected.\u00a0 This study examined potential factors influencing this increased mortality including comorbidities, medications, injury patterns, and hospital interventions.\nMethods.\u00a0 A 10-year retrospective review was conducted of patients aged 80 and over who were injured in a MVC.\u00a0 Data collected included patient demographics, comorbidities, medication use prior to injury, collision details, injury severity and patterns, hospitalization details, outcomes, and discharge disposition.\nResults.\u00a0 We identified 239 octogenarian patients involved in a MVC.\u00a0 Overall mortality was 18.8%.\u00a0 We recognized an increased mortality for specific injury patterns, patients injured in a rural setting, and those who were transfused, intubated, or admitted to the ICU.\u00a0 We found no correlation between mortality and medications or comorbidities.\nConclusions.\u00a0 The high mortality rate for octogenarian patients involved in a MVC is related to injury severity, type of injury, and in-hospital complications, and not due to comorbidities and prior medications.<\/jats:p>","DOI":"10.17161\/kjm.vol15.15710","type":"journal-article","created":{"date-parts":[[2022,1,11]],"date-time":"2022-01-11T17:54:12Z","timestamp":1641923652000},"page":"336-340","source":"Crossref","is-referenced-by-count":2,"title":["Octogenarian Motor Vehicle Collisions: Injury Patterns Matter"],"prefix":"10.17161","volume":"15","author":[{"given":"Michael","family":"Lemon","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Helmer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn","family":"Soba","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeanette","family":"Ward","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James M","family":"Haan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"6672","published-online":{"date-parts":[[2022,1,11]]},"container-title":["Kansas Journal of Medicine"],"original-title":[],"link":[{"URL":"https:\/\/journals.ku.edu\/kjm\/article\/download\/15710\/14694","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.ku.edu\/kjm\/article\/download\/15710\/14694","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,1,11]],"date-time":"2022-01-11T17:54:26Z","timestamp":1641923666000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.ku.edu\/kjm\/article\/view\/15710"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,11]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,1,11]]}},"URL":"https:\/\/doi.org\/10.17161\/kjm.vol15.15710","relation":{},"ISSN":["1948-2035"],"issn-type":[{"value":"1948-2035","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,11]]}}}